Drug-induced autoimmune-like hepatitis (DI-ALH) is one of the special phenotypes of drug-induced liver injury, and since it has similar autoimmune characteristics and liver histological manifestations as intrinsic autoimmune hepatitis, differential diagnosis of these two diseases may be difficult in some cases. This article reports a case diagnosed with DI-ALH after long-term follow-up and conducts a literature review to provide a reference for clinicians.